from April 11th until today there has been an oddly high number of our patients moving from careplus coverage to standard, and for some, it is unenrolling them from their plan. Is there an explanation for this? If it was just a few I wouldn’t mention it, but it has been about 20-30 people who […]
I have a member who is a QMB Member (Senior Buy In). She was going to get Cataract Surgery at a local eye center. She has BlueCross and Blue Shiled PPO and Senior Buy in second. The eye center wanted her to pay $150 copayment for EACH eye. She explained that she was a QMB […]
I have had 3 members turning 65 this year. When I update the application to reflect they have Medicare, it gives them MassHealth CommonHealth determination? I tell people to ignore it, because that is not a true determination. However, they still get letters stating so and think they qualify for MassHealth. Another member, I updated […]
I learned today from a member that she was unable to delete an income proof she had mistakenly uploaded under the Documents tab. She called the Health Connector to see if they could remove it for her and she was told that members used to be able to delete documents on their own accounts, but […]
Is there any word on when the plan enrollment system will actually be working? We have not had any changes successfully processed in over a month. We have also sent paper enrollment forms with no luck. I have now just spent over an hour on the phone with a member calling. When we finally get […]
Hi… Has the new fpl guideline sheet been released yet? Thanks
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I am looking for some clarification on a situation I encountered today with a new client. He is married, but him and his wife file separately. His wife has ESI, but he cannot enroll because it is not open enrollment and he is over the 60-day qualifying event period. Does he qualify to be on […]
I am looking for advice on how I can help someone who has cancer. Him and his wife have an income over the limit for any of the buy-in programs, so they have an advantage plan that has some high costs associated. I do not think he will qualify for a Frail Elder Waiver, because […]
Does Masshealth cover the co-pays from part d prescription plans if someone has masshealth as a secondary or senior buy-in?